01.I-Ureteroscopic lithotripsy isetshenziswa kabanzi ekwelapheni amatshe angaphezulu emgudwini womchamo, kanti umkhuhlane othelelanayo uyinkinga enkulu ngemva kokuhlinzwa. Ukufakwa kwegazi okuqhubekayo ngesikhathi sokuhlinzwa kwandisa ingcindezi ye-intrarenal pelvic (IRP). I-IRP ephezulu kakhulu ingabangela uchungechunge lomonakalo we-pathological ohlelweni lokuqoqa, ekugcineni okuholela ezinkingeni ezifana nokutheleleka. Ngokuthuthuka okuqhubekayo kwezindlela zokungenelela okuncane ngaphakathi komthambo, i-ureteroscopy eguquguqukayo ehlanganiswe ne-holmium laser lithotripsy ithole ukusetshenziswa ekwelapheni amatshe ezinso amakhulu kuno-2.5 cm ngenxa yezinzuzo zayo zokulimala okuncane, ukululama okusheshayo ngemva kokuhlinzwa, izinkinga ezimbalwa, kanye nokopha okuncane. Kodwa-ke, le ndlela iqhekeza itshe kuphela, ayizisusi ngokuphelele izingcezu ezicoliwe. Inqubo incike kakhulu kubhasikidi wokuthola amatshe, okudla isikhathi, okungaphelele, futhi othambekele ekwakhekeni kwemigwaqo yamatshe. Ngakho-ke, ukuthuthukisa amazinga angenawo amatshe, ukunciphisa izikhathi zokuhlinzwa, kanye nokunciphisa izinkinga ngemva kokuhlinzwa kuyinselele enkulu.
02. Eminyakeni yamuva nje, kuye kwaphakanyiswa izindlela ezahlukene zokuqapha i-IRP ngesikhathi sokuhlinzwa, futhi ubuchwepheshe bokudonswa kwengcindezi engemihle busetshenziswe kancane kancane ku-ureteroscopic lithotripsy.
Okumise okwe-Y/sukukhiqizai-ureteralukufinyelelaisigqoko
Ukusetshenziswa Okuhlosiwe
Kusetshenziswa ukusungula ukufinyelela kwezinsimbi ngesikhathi sezinqubo ze-ureteroscopic urology.
Izinqubo
I-ureteroscopy eguquguqukayo/eqinile
Izinkomba
I-flexible holmium laser lithotripsy,
Ukuhlolwa nge-microscopic kanye nokwelashwa kwe-hematuria ephezulu yomchamo,
Ukususwa kwe-holmium laser okuguquguqukayo kanye nokukhipha amanzi ema-cysts e-parapelvic,
Ukusetshenziswa kwe-flexible endoscopy ekwelapheni izithiyo ze-ureteral,
Ukusetshenziswa kwe-flexible holmium laser lithotripsy ezimweni ezikhethekile.
Inqubo Yokuhlinzwa:
Ngaphansi kwesithombe sezokwelapha, amatshe abonakala ku-ureter, esinyeni, noma ezinso. Ucingo oluqondisayo lufakwa ngembobo yangaphandle ye-urethra. Ngaphansi kocingo oluqondisayo, kufakwa i-vacuum-pressure sucking ureteral guide sheath endaweni yokususa itshe. Ucingo oluqondisayo kanye ne-dilator tube ngaphakathi kwe-ureteral guide sheath kuyasuswa. Kube sekufakwa i-silicone cap. Ngembobo ephakathi kwe-silicone cap, i-flexible ureteroscope, i-endoscope, i-laser fiber, kanye nekhebula lokusebenza kungeniswa ngesiteshi esikhulu se-ureteral guide sheath ku-ureter, esinyeni, noma i-renal pelvis ukuze kwenziwe izinqubo zokuhlinzwa ezifanele. Ngesikhathi senqubo, udokotela ohlinzayo ufaka i-endoscope kanye ne-laser fiber ngesiteshi se-sheath. Ngesikhathi se-laser lithotripsy, udokotela ohlinzayo ukhipha amatshe ngasikhathi sinye esebenzisa idivayisi yokumunca i-vacuum exhunywe echwebeni lokukhipha amanzi nge-vacuum. Udokotela ohlinzayo ulungisa ingcindezi ye-vacuum ngokulungisa ukuqina kwe-Luer connector cap ukuqinisekisa ukususwa kwamatshe ngokuphelele.
Izinzuzo ngaphezu kwendabukoukufinyelela kwe-urethraimigoqo
01. Ukusebenza Kahle Kokususa Amatshe: Izinga lokungasebenzi kwamatshe ezigulini ezihlinzwa ngamatshe kusetshenziswa i-vacuum-pressure ureteral guide sheath lifinyelele ku-84.2%, uma kuqhathaniswa no-55-60% kuphela ezigulini ezisebenzisa i-standard guide sheath.
02. Isikhathi Sokuhlinzwa Esisheshayo, Esingesibuhlungu Kakhulu: I-ureteral guide sheath ecindezelwa yi-vacuum-pressure ingaqhekeza futhi isuse itshe ngesikhathi sokuhlinzwa, okunciphisa kakhulu isikhathi sokuhlinzwa kanye nengozi yokopha kanye nokutheleleka ngamagciwane.
03. Ukubona Okucacile Ngesikhathi Sokuhlinzwa: I-vacuum-pressure ureteral guide sheath isheshisa ukukhishwa kanye nokufakwa kwe-perfusate, isuse ngempumelelo izinto ezi-flocculent ngesikhathi sokuhlinzwa. Lokhu kunikeza insimu yokubona ecacile ngesikhathi sokuhlinzwa.
Izici Zokuklama Umkhiqizo
Igumbi Lokuncela
Ixhuma kudivayisi yokumunca futhi isebenza njengomsele wokumunca, ivumela uketshezi lokukhipha amanzi ukuthi luphume futhi ivumela nezingcezu zamatshe eziphumayo.
Isixhumi se-Luer
Lungisa ukuqina kwesivalo ukuze ulungise ingcindezi yokumunca. Uma isivalo siqiniswe ngokuphelele, ukumunca kwandiswa kakhulu, okuholela ekutheni kube namandla aphezulu okumunca. Singasetshenziswa futhi njengegumbi lokunisela.
Isivalo se-silicone
Lesi sivalo sivala isiteshi esiyinhloko. Sinembobo encane ephakathi, okuvumela ukufakwa kwe-ureteroscope eguquguqukayo, i-endoscope, i-laser fiber, noma ikhebula lokusebenza ngesiteshi esiyinhloko se-ureteral introducer sheath kuya ku-ureter, esinyeni, noma i-renal pelvis ukuze kwenziwe izinqubo zokuhlinzwa ezingasebenzi kahle.
Thina, iJiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumkhiqizi eShayina ogxile ezintweni ezisetshenziswayo ze-endoscopic. Sine-GI line, njenge i-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, amabhulashi e-cytology, ucingo oluqondisayo, ubhasikidi wokuthola amatshe, i-nasal biliary drainage catheter ezisetshenziswa kabanzi kuI-EMR, i-ESD, i-ERCP. Futhi umugqa we-urology, njengeIbhasikidi Lokubuyisa Amatshe Omchamo, Ucingo Lokuqondisa, Isivikelo Sokufinyelela E-Ureteral futhiIsigqoko Sokufinyelela Esidongeni Somchamo Esinomuncu njll.Imikhiqizo yethu inesitifiketi se-CE, kanti izitshalo zethu zinesitifiketi se-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi kanye nengxenye ye-Asia, futhi zithola ukuqashelwa nokunconywa kakhulu ngamakhasimende!
Isikhathi sokuthunyelwe: Agasti-02-2025